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Ha sido galardonado en múltiples ocasiones en los Congresos Nacionales Turcos de Cirugía Plástica y realizó estudios avanzados en el Baylor College of Medicine de Houston, Texas.","linkedin":"","specialities":[{"id":"pls.001","name":"Cirujano plástico","illness_kind_id":38}]},"direction":{"id":38,"name":"Cirugía plástica","alias":"plastic-surgery"},"illness_kind":{"id":38,"name":{"en":"Plastic Surgery"}},"parsed_details":{"procedure_type":"surgery","fields":{"anesthesia":["general"],"back_to_work_days":{"min":7,"max":14,"unit":"days","qualifier":"Desk work usually possible in 7-14 days; physically demanding work needs about 4-6 weeks."},"complication_rate_pct":{"min":3,"max":10,"unit":"percent","qualifier":"Reoperation or readmission within about 90 days after pedicled reduction; higher with smoking, high BMI, large resections."},"contraindications":["Pregnancy or current breastfeeding (usually deferred)","Uncontrolled medical conditions (e.g., cardiovascular disease, diabetes)","Smoking or nicotine use (relative; raises necrosis risk)","Active breast infection or untreated breast malignancy","Significant bleeding or clotting disorders","Plans for future pregnancy/breastfeeding (relative precaution)","Unstable weight or very high BMI (relative precaution)"],"days_in_clinic":{"min":0,"max":0,"unit":"nights","qualifier":"Day case under general anesthesia; same-day discharge with an adult escort and help at home overnight."},"diagnostic_duration_minutes":null,"diagnostic_preparation":null,"diagnostic_referral_needed":null,"diagnostic_result_time_hours":null,"exercise_resume_weeks":{"min":4,"max":6,"unit":"weeks","qualifier":"Light walking earlier; strenuous exercise and upper-body training after surgeon clearance."},"final_result_months":{"min":3,"max":12,"unit":"months","qualifier":"Swelling resolves and breasts settle gradually; scars continue to mature longer."},"fly_home_after_days":{"min":7,"max":14,"unit":"days","qualifier":"Short flights only after a postoperative check confirms stable healing; arrange any pending suture or drain removal beforehand."},"follow_up_visits":[{"purpose":"wound_check","requirement":"routine","after":{"min":5,"max":10,"unit":"days","qualifier":"First postoperative check; dressing change and drain removal if used."}},{"purpose":"suture_removal","requirement":"conditional","after":{"min":7,"max":14,"unit":"days","qualifier":"Only if non-absorbable sutures were used; done before flying home."}},{"purpose":"assessment","requirement":"routine","after":{"min":28,"max":60,"unit":"days","qualifier":"Review of healing, shape and activity clearance."}},{"purpose":"result_review","requirement":"routine","after":{"min":180,"max":365,"unit":"days","qualifier":"Later review of final shape and scars."}}],"indications":["Symptomatic macromastia with neck, shoulder or back pain","Skin irritation or rashes under the breasts","Bra-strap grooving","Limitation of physical activity due to breast size","Breast asymmetry with a larger breast"],"main_risks":["Bleeding or hematoma","Infection or delayed wound healing","Visible or hypertrophic scarring","Nipple-areola sensation changes or loss","Nipple-areola or skin necrosis","Asymmetry or contour irregularities","Fat necrosis or seroma","Reduced or lost ability to breastfeed","Anesthesia-related risks and venous thromboembolism","Need for revision surgery"],"pain":"Moderate soreness, tightness and pulling for the first several days, usually controlled with oral analgesics; improves markedly by 1–2 weeks.","preparation":["Preoperative consultation with medical history review and examination","Mammography or ultrasound as indicated by age and risk","Routine blood tests and anesthetic assessment","Stop smoking/nicotine in advance","Review medications and supplements with surgeon","Stable weight before surgery","Fasting before general anesthesia","Arrange transport home and help during first days","Obtain a supportive surgical bra"],"recovery_timeline":[{"phase":"Day of surgery (day case)","description":"Surgery takes about 2.5-4 hours under general anesthesia. Same-day discharge after assessment in a surgical bra with dressings; drains only if used.","restrictions":["Adult escort and help overnight","No driving","Rest with head elevated"]},{"phase":"Days 1-7","description":"Soreness, tightness, swelling and bruising are expected. Short indoor walks several times daily reduce clot risk.","restrictions":["No lifting or pushing","Avoid overhead reaching","Keep dressings dry as instructed"]},{"phase":"Days 7-14","description":"Light daily activities resume around days 7-10. Desk work usually resumes around days 7-14 once pain is controlled. Short flights possible if cleared.","restrictions":["No heavy lifting","No driving until comfortable and off strong analgesics","Continue supportive bra"]},{"phase":"Weeks 3-6","description":"Swelling and bruising subside; activity increases gradually. Strenuous exercise and demanding work resume at about 4-6 weeks with surgeon clearance.","restrictions":["No strenuous exercise before about 4 weeks and clearance","Continue supportive bra"]},{"phase":"Months 2-12","description":"Breasts settle into final shape over about 3-12 months and scars mature.","restrictions":["Protect scars from sun"]},{"phase":"At any time","description":"Seek urgent care for rapid one-sided swelling, heavy bleeding, fever, spreading redness, pus, wound opening, dusky nipple, chest pain, breathlessness or calf pain.","restrictions":["Do not wait for a scheduled review"]}],"rehabilitation_days":{"min":5,"max":10,"unit":"days","qualifier":"Light self-care within 5-10 days; soreness eases over 1-2 weeks; no strenuous exercise or heavy lifting for 4-6 weeks."},"result_longevity":"Long-lasting, but breasts can change with aging, pregnancy, hormonal changes and weight fluctuation; regrowth is possible.","revision_rate_pct":{"min":3,"max":8,"unit":"percent","qualifier":"Unplanned corrective surgery within about 1-5 years after primary pedicled reduction; higher with smoking, high BMI or very large resections."},"scars":"Permanent scars around the areola, vertically down to the breast crease and often along the inframammary fold (anchor pattern); they fade over 6–18 months but remain visible.","sessions_or_stages":{"sessions":{"min":1,"max":1,"unit":"visits","qualifier":"Single operation."},"stages":[{"code":"surgery","label":"Reduction mammaplasty operation","after":{"min":0,"max":0,"unit":"days","qualifier":"Performed on the day of the procedure."}}],"qualifier":"Typically one surgery; routine follow-up checks are not counted as treatment sessions."},"success":{"metric":"Patients reporting satisfaction with the overall breast-reduction result (binary yes/no response)","value":85,"unit":"percent of patients","horizon":"About 12 months after surgery","population":"Adults after primary bilateral inverted-T inferior-pedicle reduction for symptomatic macromastia, including those with complications.","evidence_status":"limited"},"techniques":[{"name":"Inverted-T (Wise pattern) inferior pedicle reduction, bilateral","suits_whom":"Most adults with moderate to large reductions.","recovery":"Desk work about 7-14 days, ordinary function 5-10 days, strenuous exercise about 4-6 weeks."},{"name":"Vertical short-scar reduction (superior or medial pedicle)","suits_whom":"Mild to moderate reductions with good skin elasticity.","recovery":"Often similar recovery; usually no horizontal inframammary scar."},{"name":"Liposuction-assisted reduction","suits_whom":"Small reductions in fattier, less glandular breasts.","recovery":"Often quicker with minimal scarring."}],"treatment_conditions":["day_case"],"treatment_duration_hours":{"min":2.5,"max":4,"unit":"hours","qualifier":"Both breasts, standard pedicled reduction under general anesthesia."},"initial_assessment_documents":["Front, side and oblique breast photos","Recent mammogram or breast ultrasound report","Recent blood test results","Medication list including blood thinners","Medical records of chronic conditions and prior surgeries"],"travel_trips":{"min":1,"max":1,"one_trip_possible":true,"qualifier":"Single-stage surgery; stay about 7-14 days for postoperative check and drain or suture issues. Later reviews remote or local."},"clinic_checks":{"status":"ok","items":[{"id":"C1","text":"Check whether the surgeon was trained specifically in plastic surgery","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Were you trained specifically in the field of plastic surgery?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C2","text":"Check whether the surgeon has hospital privileges to perform this procedure","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Do you have hospital privileges to perform this procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C3","text":"Check where and how the breast reduction surgery will be performed","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Where and how will you perform my procedure?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C4","text":"Check for before-and-after photos of this procedure to judge which results are realistic for you","scope":"procedure","source":{"url":"https://www.plasticsurgery.org/reconstructive-procedures/breast-reduction/questions","host":"plasticsurgery.org","quote":"Do you have before-and-after photos I can look at for this procedure and what results are reasonable for me?","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C5","text":"Check that a named doctor is available to deal with complications, not only a helpline","scope":"treatment_abroad","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/having-surgery-abroad/","host":"rcseng.ac.uk","quote":"Make sure you have the contact details of a named doctor who can deal with any complications rather than a helpline.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"C6","text":"Check whether follow-up care is scheduled at the same facility as the procedure","scope":"treatment_abroad","source":{"url":"https://www.cdc.gov/yellow-book/hcp/health-care-abroad/medical-tourism.html","host":"cdc.gov","quote":"Medical tourists should also know whether follow-up care is scheduled to occur at the same facility as the procedure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":403}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"red_flags":{"status":"ok","items":[{"id":"F1","text":"An advert or information that guarantees complete success should raise concerns","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Any advert or information that guarantees complete success should raise concerns.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F2","text":"Forceful persuasion or cheap, time-limited offers pushing you into a quick decision","scope":"treatment_abroad","source":{"url":"https://travelaware.campaign.gov.uk/surgery-abroad-cut-out-the-risk/","host":"travelaware.campaign.gov.uk","quote":"Don’t be pressured into quick decisions either through forceful persuasion or cheap, time limited offers.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"F3","text":"A price that sounds too good to be true probably is","scope":"treatment_abroad","source":{"url":"https://www.plasticsurgery.org/news/articles/will-economic-uncertainty-drive-more-patients-overseas-for-plastic-surgery-what-to-consider-and-how-to-stretch-your-dollar-back-home","host":"plasticsurgery.org","quote":"If the price sounds too good to be true, it probably is.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"warning_signs":{"status":"ok","items":[{"id":"W1","text":"Severe pain after breast reduction","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W2","text":"Unusual swelling on or around the breast","urgency":"contact_clinic","general":false,"source":{"url":"https://www.nhs.uk/conditions/breast-reduction/","host":"nhs.uk","quote":"Contact the clinic where you had the operation as soon as possible if you have severe pain or any unexpected symptoms, such as a burning feeling, unusual swelling on or around your breast or changes in the colour of your skin.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W3","text":"Breast enlargement with pain and pressure","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Enlargement on one or both breasts associated with pain and pressure.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"W4","text":"Unusual discharge from the incision site","urgency":"contact_clinic","general":false,"source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Unusual discharge from the incision site, including pus.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"take_home":{"status":"ok","items":[{"id":"T1","text":"Ask for written details of the procedure before you leave the hospital","document":"written procedure details","source":{"url":"https://rcseng.ac.uk/patient-care/cosmetic-surgery/after-surgery/","host":"rcseng.ac.uk","quote":"After your surgery, before you leave the hospital, ask for written information about the procedure you've had.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T2","text":"Home doctor needs the clinic's follow-up recommendations in a written discharge summary","document":"discharge summary","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"When you have treatment abroad, you must ask the treatment provider for their follow-up recommendations documented within a written discharge summary in English.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T3","text":"Ask for copies of all prescriptions before you leave","document":"prescription copies","source":{"url":"https://travelhealthpro.org.uk/news/699/travelling-abroad-for-treatment","host":"travelhealthpro.org.uk","quote":"Remember to ask for copies of all your treatment records, including prescriptions, scans and x-rays before you leave.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T4","text":"Home doctor needs the dates for required blood tests and follow-up appointments","document":"written aftercare plan","source":{"url":"https://sbuhb.nhs.wales/about-us/individual-patient-commissioning/ipc-folder/advice-on-accessing-treatment-abroad","host":"sbuhb.nhs.wales","quote":"This should include any medication and doses, as well as any dates that blood tests and follow-up appointments must be carried out.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},{"id":"T5","text":"Written drain-care guide given before going home, if a drain was fitted","document":"drain care resource","source":{"url":"https://www.mskcc.org/cancer-care/patient-education/caring-yourself-after-breast-reduction-surgery","host":"mskcc.org","quote":"They’ll also teach you how to care for it before you go home and give you the resource Caring for Your Jackson-Pratt Drain.","tier":"tier1_medical","fetched_at":"2026-11-12","http_status":200}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"alternatives":{"status":"ok","items":[{"id":"A1","text":"You want to try reducing breast size without surgery","name":"Weight loss","source":{"url":"https://wexnermedical.osu.edu/blog/can-breast-reduction-surgery-relieve-back-pain","host":"wexnermedical.osu.edu","quote":"Weight loss may reduce breast size.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null},{"id":"A2","text":"Your discomfort is linked to breast movement","name":"Support bras","source":{"url":"https://wexnermedical.osu.edu/blog/can-breast-reduction-surgery-relieve-back-pain","host":"wexnermedical.osu.edu","quote":"Support bras can help minimize movement.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200},"operation_id":null}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1},"technique_details":{"status":"ok","items":[{"id":"inverted-t-inferior-pedicle-reduction","name":"Inverted-T (Wise pattern) inferior pedicle reduction, bilateral","how_it_works":{"text":"Skin, fat and gland tissue are removed through breast incisions","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/breast-reduction","host":"my.clevelandclinic.org","quote":"Breast reduction surgery involves removal of excess skin, fat and glandular tissue through incisions in your breasts.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"vertical-short-scar-reduction","name":"Vertical short-scar reduction (superior or medial pedicle)","how_it_works":{"text":"An incision goes around the nipple, then down the breast","source":{"url":"https://my.clevelandclinic.org/health/treatments/11025-breast-reduction","host":"my.clevelandclinic.org","quote":"Your surgeon will make an incision around your nipple, then downward on your breast, in a keyhole shape.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}},{"id":"liposuction-assisted-reduction","name":"Liposuction-assisted reduction","how_it_works":{"text":"Fat is removed by liposuction alongside skin excision techniques","source":{"url":"https://my.clevelandclinic.org/cosmetic-plastic-surgery/procedures/breast-reduction","host":"my.clevelandclinic.org","quote":"Excess fat may also be removed through liposuction along with various excision techniques.","tier":"tier1_medical","fetched_at":"2026-11-11","http_status":200}},"recovery_daily":{"status":"missing","reason":"no_official_source"}}],"checked_at":"2026-11-11","next_check_at":"2027-11-11","version":1}}},"hrefLanguages":[{"rel":"alternate","hreflang":"ru","language":"ru","href":"https://ru.bookimed.com/clinics/country=brazil/city=nova-lima/procedure=umensenie-grudi/"}],"questionsAndAnswers":[],"seoTests":{"thin_content":false,"no_txt_after_3_clinics":false},"offerFilters":{"offer_count":0,"city_filter":[{"id":2518,"name":"Rio de Janeiro","alias":"rio-de-janeiro","country_iso_code":"BR"}],"price_filter":{"from":0,"to":0,"avg":0}},"leadsCount":{"leads_count":10},"manualSeo":[],"updatedAt":"2026-11-12T21:17:05.000Z","activeCountries":["BR","ES","US","TH"],"hasVideoReviewsByContext":true,"hasCriticalApiFallback":false}